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Tonight we had labour ward scenario 2, then a critique of the RCOG's patient information leaflet about genital herpes and finally a role-play.
The genital herpes document is here: http://www.rcog.org.uk/genital-herpes-pregnancy-information-for-you.
The roleplay was:
"Break
bad news. Primigravida. 8 weeks. Some bleeding. Scan = IUP. CRL = 12 mm. No fetal heart activity.
Counsel".
Scenario 2.
Monday. 0900 hours. You have just come on duty.
|
1
|
Mrs
A
|
Para
0+0
|
25
yrs
|
41
weeks. In labour 12 hours. Cx 8 cm. No progress for 4 hours. "Dips"
reported on CTG
|
|
2
|
Mrs
B
|
Para
1+2
|
31
yrs
|
28
weeks. Just admitted. "Show" + contractions
|
|
3
|
Mrs
C
|
Para
5+3
|
40
yrs
|
In
labour 8 hours. Cx 6 cm. dilated
|
|
4
|
Mrs
D
|
Para
1+3
|
27
yrs
|
37
weeks. Diabetes. Admitted ½ hour previously. Previous Caesarean section.
|
|
5
|
Mrs
E
|
Para
1+2
|
32
yrs
|
40
weeks. Previous 9 lb. baby. In the second stage for 1 ½ hours.
|
|
6
|
Miss
F
|
Para
0+0
|
15
yrs
|
34
weeks. Concealed pregnancy. In labour. Just admitted. Breech presentation
|
|
7
|
Mrs
G
|
Para
1+2
|
|
26
weeks. Admitted with severe abdominal pain
|
|
8
|
Mrs
H
|
Para
2+1
|
|
39
weeks. In early labour.
|
|
9
|
Mrs
I
|
Para
1+0
|
|
Delivered
two hours previously by Caesarean section for severe pre-eclampsia. Diastolic
BP / 110. Urine output 50 ml. since delivery
|
|
10
|
Mrs
J
|
Para
1+0
|
|
Normal
delivery + PPH >1,500 ml. one hour ago
|
Medical
staff:
Consultant: in his Rooms.
You: Registrar.
Foundation
Year 2 six months’ experience.
Registrar
in anaesthetics.
Midwifery
staff:
Senior
Sister.
Two
staff midwives.
One
community midwife.
Two
student midwives.
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